DOI: http://dx.doi.org/10.18203/issn.2454-2156.IntJSciRep20214496

Undiagnosed advanced abdominal pregnancy: a case report

Ekundayo O. Ayegbusi, Oluwatoyin O. Fadare, Akintunde O. Fehintola, Akinyosoye D. Ajiboye, Akaninyene E. Ubom

Abstract


Abdominal pregnancy is a rare form of extra-uterine gestation in which implantation occurs in the peritoneal cavity, unlike this case it rarely reaches advanced gestation and viability of fetal outcome are not commonly documented. Abdominal pregnancy accounts for about 1-2% of ectopic gestation. It is associated with poor fetal outcome and great morbidity and mortality due to heamorrhage especially in a low resource setting. We present an undiagnosed advanced case of abdominal pregnancy of a 30 yr old unbooked G2P1+0 (1A) with early ultrasound estimation of 37 weeks and 6 days. She presented with (abdominal) labour pains and ultrasound diagnosis of breech presentation, suspicion of a bicornuate uterus and intrauterine growth restriction. She was planned for emergency cesarean delivery on this basis but found advanced abdominal pregnancy, and subsequently on delivery had good maternal and fetal outcome. Abdominal pregnancy with live fetus is extremely rare, and requires a high index of suspicion, to avoid high risk of maternal morbidity and mortality and it is also imperative for all healthcare givers to localized pregnancy whenever they get in contact with a woman who has recently missed her period.


Keywords


Advanced abdominal pregnancy, Ectopic pregnancy, Laparotomy

Full Text:

PDF

References


Siati A, Berrada T, Baidada A. Abdominal pregnancy with a healthy newborn: A new case. Pan Afr Med J. 2019;34:1–5.

Baffoe P, Fofie C, Gandau BN. Term abdominal pregnancy with healthy newborn: a case report. Ghana Med J. 2011;45:81–3.

Yasumoto K, Sato Y, Ueda Y. Expectant management for abdominal pregnancy. Gynecol Minim Invasive Ther. 2017;6:82–4.

Hailu FG, Yihunie GT, Essa AA. Advanced abdominal pregnancy, with live fetus and severe preeclampsia, case report. BMC Pregnancy Childbirth. 2017;17:1–4.

White RG. Advanced abdominal pregnancy. A review of 23 cases. Ir J Med Sci. 1989;158:77–8.

Trivedi K, Singh L. Advanced abdominal pregnancy with a healthy newborn: a rare case report. Int J Reprod Contraception Obstet Gynecol. 2016;5:3583–6.

Isah AY, Ahmed Y, Nwobodo EI. Abdominal Pregnancy With A Full Term Live Fetus : Case Report. 2008;7:198–9.

Osanyin GE, Okunade KSOA. A case report of a successfully managed advanced abdominal pregnancy with favorable fetomaternal outcomes. Trop J Obs Gynaecol. 2017;34:240–2.

Sib SR, Ouédraogo I, Sanogo M. A full term abdominal pregnancy with an isthmic tubal implantation of the placenta. BMC Pregnancy Childbirth 2018;18:10–4.

Dabiri T, Marroquin GA, Bendek B. Advanced extrauterine pregnancy at 33 weeks with a healthy newborn. Biomed Res Int. 2014;2014: 10–3.